ONLINE APPLICATION FOR ADMISSION


  • All fields are required for a complete application.
  • Incomplete applications will not be processed.
Are you U.S. Citizen / Residents:
 Yes     No
 
First Name:
Middle Name:
Last Name:
Gender
Date of Birth:
(mm/dd/yyyy)
Social Security Number
(U.S. Citizen and Residents ONLY)
Ethnicity
(Optional)
 
Current Street Address:
City:
State:
Zip Code:
Country:
Home Phone Number:
 (Ex: 123-123-1234)
Cell Phone Number:
 (Ex: 123-123-1234)
Valid Email Address:
 
  
Permanent Street Address:
City:
State:
Zip Code:
Country:
Permanent Phone Number:
 
  
Will you need to be picked up from the airport when you arrive in the U.S.?
 Yes     No    
Will you need housing assistance?
 Yes     No    
Which housing option would you prefer?
 Homestay
Studio Apartment
One Bedroom Apartment
Dormitory
Do you have any physical or mental impairments or disabilities that the college should be aware of?
Please Explain
 
  
Enrollment Date:
   /  
Which program are you entering?
 Associate of Arts Degree (6 Quarters)
Certificate (4 Quarters)
Apprentice (2 Quarters)
Non-Certificate (1 Quarters)
Which department are you choosing?
 Vocal
Guitar
Bass
Drum
Piano / Keyboard
 
  
How long have you been playing / singing?
Have you ever had any live performance or studio experiences?
Please explain
 
  
For International Students ONLY
  
If you have a TOEFL or TOEIC score, please write your score. If you don't have these scores, please select your level of English.
Excelent
Very Good
Good
Fair
Poor



 
  
How did you find out about CCM?
Magazine / Publication

Website

Agent

Other
Emergency Contact Name:
Street:
City:
State:
Zip Code:
Country:
 
  
Phone Number:
Email Address:
Relationship:

Click the button below to submit your admission application.